Pregnancy has different effects on liver diseases with different lesions: Mild moderate chronic chronic hepatitis B female patients are mostly similar to non -pregnant women, and generally do not aggravate the disease.However, this type of pregnant women must also check the liver function regularly during pregnancy, and there must be a close monitoring of doctors.
Women with hepatitis are not suitable for pregnancy, because the liver may be difficult to bear the load of pregnancy, and such pregnant women have higher risk of aggravating more than women who are not pregnant hepatitis.
Before preparing for pregnancy, patients with hepatitis B must go to the hospital for corresponding examinations, clarify the condition and the history of medication to make the best pregnancy preparation to determine the best pregnancy timing and the most suitable treatment plan.
If the liver disease during pregnancy is significantly worse, in principle, it is not advocated that the termination of pregnancy is not advocated, because surgical operations may be more harmful to the body of pregnant women than continuing to be pregnant, but in the end, obstetricians and liver disease doctors will be determined.
The blood flow of pregnant women during pregnancy will increase. At this time, the amount of HBV DNA in the blood will be diluted by increasing blood flow, and postpartum blood capacity will fall, and the serum HBV DNA level may increase, so some pregnant women have increased postpartum condition.But pregnant women can be treated accordingly after delivery.
Generally speaking, as long as the liver function of women who plan to pregnancy does not seriously damage the liver function of her own, shepatitis B can prepare for pregnancy.
The effect of chronic hepatitis B or liver hardening on pregnancy is different from the severity of the patient’s condition. The impact of mild hepatitis on pregnancy has no other significant impact except for the high premature birth rate.
If the hepatitis has stopped, early liver cirrhosis is good, if the compensation function is good, these two situations may have no significant effect on pregnancy.
Most of the fetal survival rate depends on the maturity of their childbirth, which is less related to the mother’s condition.Pregnant women with incomplete liver cirrhosis are more complicated and serious. Pregnant women may have acute liver failure themselves, and fetal fetuses have the possibility of premature birth, spontaneous abortion and dead tires.healthy.Hepatitis B virus infection has no teratogenic effect on the fetus and does not cause congenital diseases.
Before and after pregnancy and after pregnancy, you need to pay attention to some issues: before pregnancy-analyzing whether the condition can withstand the burden of pregnancy, hepatic tissue examination must be made to be clear if necessary.
Patients with abnormal liver function examination must first be treated with enzyme reduction. After recovering normal, it is necessary to maintain treatment for at least 4 months. Because the longer the maintenance time, the longer the normal time when the transaminase is maintained after stopping the drug.
After pregnancy: It is necessary to check the liver function every month. If there is abnormalities, the doctor will consider treatment carefully according to pregnancy.Because drugs may teratogenize the fetus, the application should be particularly cautious.
In the early three months of pregnancy, especially the first three months, you should avoid using drugs, and you can choose more secure drugs afterwards.In the middle and late pregnancy, in case hepatitis seizures, you can continue your pregnancy with close observation and be careful to treat enzyme reduction.